NPIMap

Organization Active NPI

Carolina Medicorp Enterprises Inc

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1053379933
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CAROLINA MEDICORP ENTERPRISES INC
Practice address
7811 N Point Blvd
Dba Primecare North Point
Winston Salem, NC 27106-3209
Phone
(336) 759-0700
Fax
(336) 759-2226
NPI assigned
May 2, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Paul M. Barry, MD
Title
Medical Director
Phone
(336) 774-0040

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040110000190 NC Part B Supplier - Clinic/Group Practice 0648174904 Receives reassigned benefits from 249 practitioners
32 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cornelius, NC; Greensboro, NC; High Point, NC; Huntersville, NC; Indian Trail, NC; Kernersville, NC; Lexington, NC; Matthews, NC…

National Provider Directory

National Provider Directory

Locations

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

116 S Sharon Amity Rd
Ste 114
Charlotte, NC 28211

13129 S Tryon St
Charlotte, NC 28278

11840 Southmore Dr
Ste 110
Charlotte, NC 28277

501 Hickory Branch Rd
Greensboro, NC 27409
Phone (336) 878-2260

4012 Battleground Ave
#B1020
Greensboro, NC 27410

6610 Old Monroe Rd
Indian Trail, NC 28079
Phone (704) 289-1193

794 S Main St
Kernersville, NC 27284

4705 S NC Highway 150
Ste B
Lexington, NC 27295

1977 Cotton Grove Rd
Ste 110
Lexington, NC 27292

1122 Randolph St
Ste 100
Thomasville, NC 27360

1122 Randolph St
Thomasville, NC 27360
Phone (336) 476-8186

5705 Shattalon Dr
Winston Salem, NC 27105
Phone (336) 661-4880

1215 N Cameron Ave
Winston Salem, NC 27101
Phone (336) 703-6737

3361 Silas CRK Pkwy
Winston Salem, NC 27103

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

7811 N Point Blvd
Dba Primecare North Point
Winston Salem, NC 27106-3209

Mailing address

2000 Frontis Plaza Blvd Ste 200
(Attn) Forsyth Medical Group
Winston Salem, NC 27103-5616
Phone (336) 277-2435

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
89012MMedicaidNC

Other names 1

NPPES NPI Registry
  • Prime Care of North Point Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053379933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FRONTIS PLAZA BLVD STE 200",
            "address_2": "(ATTN) FORSYTH MEDICAL GROUP",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035616",
            "telephone_number": "336-277-2435",
            "fax_number": "336-277-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 N POINT BLVD",
            "address_2": "DBA PRIMECARE NORTH POINT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063209",
            "telephone_number": "336-759-0700",
            "fax_number": "336-759-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICORP ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-774-0040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care of North Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.